Community-acquired pneumonia Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 62-year-old man presents to the emergency department for evaluation of shortness of breath and cough, both of which began a day ago. The patient has  experienced fever and chills over the same time period. Past medical history is notable for hypertension and Type 2 diabetes mellitus. The patient has a 20 pack/year smoking history and currently smokes a pack of cigarettes daily. Temperature is 39.0 °C (102.2 °F), blood pressure is 143/87 mmHg, pulse is 108/min, respiratory rate is 23/min, and SpO2 is 90% on room air. The patient is ill-appearing on physical examination. During the visit, the patient frequently coughs and produces viscous, yellowish sputum. A chest radiograph is obtained, which shows focal consolidations in the right lung (see image below). Which of the following additional findings will most likely be present on physical examination of this patient?

A chest X-ray shows lungs and heart. Right lung has hazy patches, possibly consolidations. Left lung appears clearer. Diaphragm is visible, as are ribs and shoulders. Text "PA Sitting" in corner.
Image reproduced from Radiopaedia

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